Individual
TIA BOGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 MAIN ST STE 305, GARDENDALE, AL 35071-3484
(205) 693-9948
Mailing address
1034 MAIN ST STE 305, GARDENDALE, AL 35071-3484
(205) 693-9948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05328
AL
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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